Active NPI
XL Care Inc
- Home Health Agency
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001478
- Legal business name
- XL CARE INC
- Practice address
- 20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484 - Phone
- (818) 785-2944
- Fax
- (818) 785-2956
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dmitrtiy Grinberg
- Title
- Cfo
- Phone
- (818) 785-2944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001478 | CA | Primary |
Addresses
Primary practice location
20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484
Mailing address
20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484
Phone (818) 785-2944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08236F | Medicaid | CA | |
| 980001478 | Other | CA | HOME HEALTH AGENCY LICENS |
| HH980002368 | Other | CA | STATE FACILITY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021029000012 | CA | Part A Provider - Home Health Agency | 5597673020 | Practice locations: Woodland Hills, CA |
Home health agency certification: CCN 058236
- Legal name
- XL CARE INC
- Doing business as
- X L CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 26, 2004
- Last certification
- Feb 28, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 24, 2002 in CA
- Enrollment address
- 20350 Ventura Blvd
Ste 140
Woodland Hills, CA 91364-2484
Care Compare: Home health agency
Medicare Care Compare- Listed as
- XL Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 26, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2263259 | XL Care, Inc | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
20350 Ventura Blvd
Ste 140
Woodland Hills, CA 91364
Phone (818) 785-2944
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Inga Zhibkova | W-2 Managing Employee | Sep 30, 2002 | |
| Tsilya Bass | Contracted Managing Employee | Dec 2, 2002 | |
| Dmitry Grinberg | 5% Or Greater Direct Ownership Interest | Sep 24, 2002 | 100% |
| Corporate Director | Dec 9, 2002 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1841330800
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1568428324
Home health agency
-
- Endocrinology, Diabetes & Metabolism Physician
- Los Angeles, CA
- NPI 1679581565
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571616000000",
"number": "1588655112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20350 VENTURA BLVD STE 140",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642484",
"telephone_number": "818-785-2944",
"fax_number": "818-785-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20350 VENTURA BLVD STE 140",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642484",
"telephone_number": "818-785-2944",
"fax_number": "818-785-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2019-10-21",
"status": "A",
"authorized_official_last_name": "GRINBERG",
"authorized_official_first_name": "DMITRTIY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "818-785-2944",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08236F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AGENCY LICENS",
"identifier": "980001478",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FACILITY ID",
"identifier": "HH980002368",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.